• 한방재활의학과학회지
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• 제26권2호
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• pp.133-144
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• 2016

Objectives This study was designed to find out influential factors associated with Hospitalization of the patients from traffic accident by Groups. Methods Based on the medical charts, we analyzed statistical study of 486 patients putting them into two groups to identify the factors associated with the duration of hospitalization involving age, sex, elapse day (Interval between time of injury and visit to hospital), and the types of accident. Patients in group A were diagnosed with a mere 'sprain', and patients in Group B had other symptoms accompanied by 'sprain'. Results 1. In group A, cervical sprain was the most and male patients with the symptom outnumbered female patients. In group B, headache was most where female patients had the symptom 1.7 times more than male patients. 2. Female patients in group B were found to stay for a longer period of time in the hospital than the male counterparts (p<0.05). 3. Both group A and B have positive correlation between length of hospital stay and age though group B exhibited stronger correlation. 4. Patients who had accident while riding bus in group A and those who were pedestrians in group B were found to stay in the hospital for a significantly longer period of time than those who had any other types of accident (p<0.05). Conclusions We noticed that hospital stay lengthened when the patients were older and when they had accidents while riding bus in Group A whereas in Group B, patients stayed longer when they were females and older as well as when they were pedestrians in accidents.

• 간호행정학회지
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• 제17권1호
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• pp.66-73
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• 2011

Purpose: The purpose of this study was to demonstrate effects of a critical pathway (CP) for stroke patients seen in emergency rooms (ER). Method: The CP developed by the CP committee consisted of 8 criteria: behavior of doctors and nurses, laboratory tests, Image testing, medication, treatment, activity, and nutrition. According to application of CP, a control group (n=17) and experimental group (n=17) were defined. Time was checked by the electronic medical records. Result: Use of CP for stroke patients in the ER, resulted in a decreased length of stay in ER (t=2.341, p=.026), and time required for image testing (t=2.623, p=.021), and an increased number of patients using rtPA ($x^2$=4.802, p=.049). Time required for neurology doctor contact, for neurology doctor to see patient in the ER, and for report of blood tests decreased, but there were no statistical significance. Conclusion: Quick responses are most important in the ER, so CP for these patients is a very effective patient management tool. To reduce delay in stroke diagnosis, continuous education programs for similar symptoms are necessary. CPs for other patients in the ER should be developed, and studies on cost and satisfaction, as well as length of stay, should be done.

• 생명과학회지
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• 제18권11호
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• pp.1493-1498
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• 2008

본 연구는 심폐바이패스를 이용한 성인 심장수술 시 수술 후 환자의 회복 결과에 영향을 미치는 인자들을 규명하기 위해 시행하였다. 성인 심장수술 환자 32명을 대상으로 하여 연구하였다. 심장수술 시 밸혈구 수, GOT, troponin-I (cTNI), interleukin-6 (IL-6), endothelin-1 (ET-1), D-dimer, neuron-specific enolase (NSE) 등의 혈장농도는 유의하게 증가한데 비해 혈소판 수는 감소하였다. 수술 직후 GOT 및 D-dimer 농도와 24 시간 및 총출혈량, 기계호흡보조 시간, 중환자실 치료기간, 재원일수와 각각 양의 상관성이 있었다. 혈소판 수와 기계호흡보조 시간, 중환자실 치료기간, 재원일수와 각각 음의 상관관계가 있었다. Creatinine 농도와 기계호흡보조 시간, 중환자실 치료기간 사이에 양의 상관성이 있었다. NSE 농도와 24 시간 출혈량 사이에 양의 상관관계를 보였다. cTNI 농도와 재원일수 간에 양의 상관성이 있었다. 대동맥 교차차단 및 총심폐바이패스 실시 시간과 24 시간 및 총 출혈량, 재원일수 사이에 양의 상관관계를 나타내었다. 결론적으로 본 연구의 결과들은 심폐바이패스를 적용한 성인 심장수술 시 수술 후 환자의 결과와 회복에 영향을 미치는 가장 중요한 변수는 수술 종료 직후(CPB-off)의 GOT, BUN, creatinine, D-dimer 등의 농도와 혈소판 수임을 시사하고 있다.

• Asian Pacific Journal of Cancer Prevention
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• 제13권2호
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• pp.447-450
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• 2012

Video-assisted thoracic surgery (VATS) has been recommended as more optimal surgical technique than traditional thoracotomy for lobectomy in lung cancer, but it is not well defined. Here, we compared VATS and traditional thoracotomy based on clinical data. From November 2008 to November 2010, 180 patients underwent lobectomy for non-small-cell lung cancer (NSCL) identified by computerized tomography. Of them, 83 cases were performed with VATS and 97 by thoracotomy. Clinical parameters, consisting of blood loss, operating time, number of lymph node dissection, days of pleural cavity drainage, and length of stay were recorded and evaluated with t test. No significant difference was observed between the VATS and thoracotomy groups in the average intraoperative blood loss, number of lymph node dissections, and days of pleural cavity drainage. While the average operating time in the VATS group was significantly longer than that in thoracotomy group, recurrence was only present in one case, as opposed to 7 cases in the thoracotomy group In conclusion, similar therapeutic effects were demonstrated in VATS and thoracotomy for NSCL. However, VATS lobectomy was associated with fewer complications, recurrence and shorter length of stay.

• 대한영양사협회학술지
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• 제5권1호
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• pp.48-53
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• 1999

This study was prospectively conducted to investigate any relationship of nutritional status at the time of admission to length of hospital stay and mortality. All patients admitted to the Asan Medical Center between October 13 and November 12, 1997 who met the study criteria were included in the study. Patients were classified as Not-at-risk, At-risk Ⅰ or At-risk Ⅱ based on the levels of serum albumin and total lymphocyte count in a computerized nutrition screening program. Sixty three percent of the patients were classified as Not-at-risk Group, 29% as At-risk Group Ⅰ and 8% as At-risk Group Ⅱ. Significant correlation was observed between nutritional status and LOS (P＜0.01) as well as mortality rate (P＜0.05). The more the patient had the nutritional risk factors, the longer the LOS and the higher the mortality rate were. Further studies have to be done in order to demonstrate cost-effectiveness of medical therapy for the malnourished hospitalized patients.

• Journal of Chest Surgery
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• 제33권10호
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• pp.812-816
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• 2000

Background ; To evaluate the efficacy of Fibrin glue to decrease recurrence in video-assisted thoracoscopic surgery(VATS) for a treatment of spontaneous penumothorax. Material and Method : All medical records of 17 patients who underwent a thoracoscopic wedge resections of bullae with stapling device with Fibrin glue in our institute between May 1998 and December 1999 were reviewed. variables analyzed include affected sites primary indication of VATS. duration from admission to discharge duration of postoperative stay duration of chest tube drainage recurrence and complication. There were 16 men and 1 woman. Result : There was no evidence of hemodynamic instability or arterial blood gas abnormalities encountered during the procedure. Mean age at the time of the VATS was 26.9 years (range 15 to 61 years) The mean duration from admission to discharge was 7.8 days and mean postoperative stay was 5.1days mean chest tube indwelling period was 4..0 days. There was no recurrence of pneumothorx. Conclusion : Thoracoscopic wedge resections with introduction of fibrin glue are safe and effective and requires only a short hospital stay. We believe that this thoracoscopic technique will further simplify the surgical treatment of pneumothorax.

• 한국ITS학회 논문지
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• 제22권3호
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• pp.1-19
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• 2023

최근 탄소중립의 대안으로 떠오르고 있는 자전거의 통행행태를 파악하기 위하여 경유지를 고려한 통행발생량을 추정하고자 하였다. 서울시 공공자전거인 '따릉이'의 GPS 주행궤적 데이터를 이용하여 통행에서의 중간 경유지인 체류 지점을 파악하고, 인구, 토지이용, 물리적인 특성을 반영한 통행발생량 모형을 분석하였다. 맵매칭과 체류 지점 탐지 알고리즘을 이용하여 체류 지점을 추정한 결과, 전체 통행의 약 12.1%에서 체류 지점이 나타났다. 체류가 발생한 통행은 비체류에 비해 평균 이용거리와 이용시간이 더 길며, 체류 지점이 집중되는 시간대는 오전 첨두시와 오후 첨두시 사이의 비첨두시인 것으로 나타났다. 시각화 분석에 따르면 공원 및 레저 시설, 업무시설에서 주로 체류 지점이 나타났다. 체류 지점을 고려하기 위하여 기존의 대여소 기반이 아닌 육각격자를 분석단위로 설정하였으며, 영과잉 음이항(Zero-Inflated Negative Binomial, ZINB) 모형을 이용하여 체류 지점을 고려한 통행발생량을 추정하였다. 분석결과, 자전거전용도로 및 자전거·보행자겸용도로(분리형)와 같이 자전거 이용자의 안전이 확보된 자전거 인프라에서 통행발생량 및 체류 지점에서 발생한 통행이 많은 것으로 나타났다. 또한 공공자전거는 대중교통의 접근수단으로서 퍼스트&라스트 마일 수단의 역할을 하며, 생활중심지와 고용중심지에서 통행발생량이 커지는 것으로 나타났다. 이러한 분석 결과를 토대로 자전거 인프라의 추가 확충 계획 시 이용자의 안전시설 및 공간 확보가 우선돼야 하며, 대중교통과 연계한 자전거 인프라 시설 보급방안의 수립이 필요한 것으로 보인다.

• 한국콘텐츠학회논문지
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• 제12권10호
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• pp.466-479
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• 2012

템플스테이는 한국의 역사와 문화를 체험할 수 있는 종교관광이며 문화관광으로 급격한 양적 성장을 하여 왔으나, 이제는 질적 성장의 필요성이 절실하며 본 연구는 이러한 목적을 달성하고자 진행되었다. 관광측면에서의 기존 템플스테이 연구들은 템플스테이 참여자의 만족과 행동의도에 대한 영향 연구이거나 국내 외 참가자들의 차이분석이 주를 이루어 왔다. 이와 달리 본 연구는 참가자들의 종교적 관여 정도 및 만족도와 행동의도인 구전 및 재방문과의 영향관계를 확인하고자 하였다. 이 영향관계의 규명을 위해 3개의 가설을 설정하여 실증분석을 실시하였고, 실증분석 결과 설정된 3개의 가설이 모두 부분적으로 채택이 되었다.

• 한국농촌건축학회논문집
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• 제10권4호
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• pp.1-8
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• 2008

The policy that do so the Geritol generation with advanced age generation's increase may be not estranged and can human down life is necessary times. The Medical treatment and welfare service is essential, and the aged support domiciliary care facility in the rudiments step more expand must. It is real condition that Kangwon-do's number of closed school appears by many things thirdly in whole country and the post management countermeasure is urgent. Because this research chooses the closed school by way to solve the closed school problem that happen by the child of school age decrease the farming and fishing villages or small city and the shortage problem of old people's welfare facilities by population graying at the same time. There is the purpose to grope practical use the possibility of local closed school as welfare center for the old who stay at home present remodeling to welfare facilities for the old man. Keeping the structure condition of a closed school maximum, the welfare center for the old who stay at home by remodeling a closed school ultimately proposed.

• Advances in pediatric surgery
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• 제20권2호
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• pp.43-47
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• 2014

Purpose: Hypertrophic pyloric stenosis (HPS) is known to be one of the most common cause of surgery for infants and pyloromyotomy was considered to the standard treatment. There has been an ongoing debate about whether laparoscopic pyloromyotomy (LP) or open pyloromyotomy (OP) is the best option for treating HPS. The aim of this study is to evaluate safety and effectiveness of LP by comparing the clinical results of both surgical strategies performed by single surgeon. Methods: Between January 2000 and December 2013, 60 patients who underwent pyloromyotomy at Asan Medical Center performed by a surgeon were followed: open-supraumbilical incision (n=36) and LP (n=24). The parameters included sex, age and body weight at operation. Clinical outcomes included operation time, time to full feeding, postoperative hospital stay, and postoperative complications. Results: There were no significant differences in characteristics, postoperative hospital stay between the two groups. Time to full feeding was shorter in LP (OP 24.5 hours vs. LP 19.8 hours; p=0.063). In contrast, the mean operation time was longer in LP (OP 37.5 minutes vs. LP 43.5 minutes; p=0.072). Complications such as perforation of mucosal layer (OP 1 vs. LP 0) and wound problems (OP 2 vs. LP 0) were found to be not worse in laparoscopic group as compared with open group. Conclusion: There has no difference both laparoscopic and open-supraumbilical incision in terms of postoperative hospital stay, time to full feeds and frequency of complications.